Active NPI
David S Richmond, M.D.
- Specialist
- Clayton, ID
National Provider Identifier
1063619765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M6268
- Practice address
- HC 67 Box 680
Clayton, ID 83227-9702 - Phone
- (208) 838-2431
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M6268 | ID | Primary |
Addresses
Primary practice location
HC 67 Box 680
Clayton, ID 83227-9702
Mailing address
HC 67 Box 680
Clayton, ID 83227-9702
Phone (208) 838-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6268 | ID | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063619765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 67 BOX 680",
"city": "CLAYTON",
"state": "ID",
"postal_code": "832279702",
"telephone_number": "208-838-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 67 BOX 680",
"city": "CLAYTON",
"state": "ID",
"postal_code": "832279702",
"telephone_number": "208-838-2431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M6268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.